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Substance-use related psychiatric comorbidity among clients of aftercare programme
Horová, Eva ; Mravčík, Viktor (advisor) ; Koutská, Kateřina Olga (referee)
Background: Mental illness is a risk factor for the development of addiction, e.g. as a result of self-medication, and vice versa, addictive behavior can contribute to the development of mental illness. Disorders from the use of addictive substances concurrently with another mental disorder, the so-called "dual diagnosis", has a high prevalence among users of addictive substances. Clients with psychiatric comorbidity have a higher incidence of risky behavior or suicide and a higher need for services and care. Objective: The objective of this work was to determine the prevalence of psychiatric comorbidity associated with the use of addictive substances in clients using the services of a aftercare center and to describe the factors that accompany its occurrence. Methods: A secondary analysis of data was performed from the provided anonymized database of clients actively using the services of the aftercare center as of March 1, 2023. In addition to the sociodemographic data of the clients, data on the use of addictive substances, the nature of the addiction disorder, the presence of disorders in the field of mental health and factors, were analyzed which could influence their occurrence and clinical severity in the client. Results: The research group consisted of 79 clients of the outpatient and...
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Selected Members of the Habsburg Dynasty and their Mental Disorders
Grunclová, Kateřina ; Ehler, Edvard (advisor) ; Vančata, Václav (referee)
This Bachelor thesis presents research into occurring mental illnesses in celected members of the Habsburg dynasty, with an effort to best consretise them from the original historical background and to compare them with current knowledge. At the same time, it will describe the marriage policy that cintributed to the emergence of mental illness in individual members. The aim of the work is to get acquainted with the Habsburg dynasty, characterize the mental disorders occurring in this magnificent dynasty and evaluate the manifestations of individual diseases.
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Providing nursing care of patients with mental disorders during the pandemic.
MARKOVÁ, Monika
Current status: In January 2020, the World Health Organization declared an outbreak of a new coronavirus disease, covid-19, a public health threat. Two months later, it was determined that it could be classified as a pandemic. Social isolation, anxiety, fear of contagion, insecurity, chronic stress and economic hardship can lead to the emergence of mental disorders in vulnerable populations or the worsening of pre-existing disorders (e.g. depression, anxiety). Psychiatric conditions related to stress, mood changes and substance use may also be associated with suicidal behaviour. The covid-19 disease may increase suicide rates during and after a pandemic. Therefore, providing nursing care to patients is a constant challenge not only because of the increasing need for it but also because of the increased mental health burden and limited social contact. Aims of the study: 1. To investigate the impact of the pandemic on the provision of nursing care to patients with a mental disorder. 2. To investigate nurses' experience of providing nursing care to patients with a mental disorder during a pandemic. Methodology: The empirical part of the study was done through qualitative research inquiry. A survey method was used, and a semi-structured interview was the data collection technique. The data collected was analyzed by open coding, pencil and paper method. Based on this analysis, four categories and seven sub-categories emerged. The research part: The research population consisted of 17 nurses from different regions in the Czech Republic. Specifically, eight nurses worked in inpatient care, five worked in outpatient care, and four worked in community care. The selection of nurses was deliberate. Results: The research showed that the pandemic had a widespread impact on providing nursing care to patients with mental disorders. Due to anti-epidemic measures, care was limited, some wards were closed entirely, and there was also a risk of deterioration in the quality of care. Nurses consider the benefits of the pandemic to be the newly gained experience and an even more close-knit team. Among the specifics of the care provided during the pandemic, nurses mentioned wearing protective equipment, limiting contact, testing staff and increased disinfection of areas. Complications and shortcomings in care delivery most frequently cited included inadequate amounts of protective equipment, poor communication with clients, little support from management, and lack of additional staff. Tele-nursing was also used in providing nursing care, especially by nurses in outpatient care. Application to practice: The findings will contribute to mapping the specificities in providing nursing care to patients with mental disorders during a pandemic. The thesis results can be used as study material for non-medical students and practising nurses.
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Gamers fighting depression - Strategies of video game players against feelings of depression
Ováry, Šimon ; Šalanda, Bohuslav (advisor) ; Vávra, Martin (referee)
This thesis examines the motivation of players of video games for their playing, and the strategy of these players for overcoming feelings of depression, using the methods of grounded theory. The first part deals with the approach of sociology and selected studies towards the issue of video games and mental disorders, to which I then relate the findings of my own research at the final chapter. In the second part of this work I present what methodology has been used and how. In the final part I lead a discussion about the findings and outcomes of my research.
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Analysis of a selected groups of psychiatric patients
Päckertová, Barbora ; Šídlo, Luděk (advisor) ; Lustigová, Michala (referee)
This diploma thesis focuses on the analysis of selected diagnoses of psychiatric patients in 2019, specifically diagnoses from the category F30-F39 (affective disorders) and F40-F48 (neurotic, stress- related and somatoform disorders). The aim of this work is to approach the topic of mental disorders, related concepts, and to analyze selected patients receiving outpatient health care with a focus on the Czech Republic. The work uses anonymized data from VZP ČR for selected diagnoses. Within the monitored diagnoses, data for the number of uniquely treated patients (UOP), the number of contacts / visits to outpatient health care facilities and the costs of outpatient care for selected diagnoses are analyzed. Descriptive analysis of selected diagnoses is performed on the basis of two expertise (305 - psychiatry and 901 - clinical psychology). The data showed that the proportion of VZP ČR's patients with selected diagnoses differs according to outpatient health expertise. The highest share of patients in expertise 305 is visible within middle-aged patients, on the contrary, in expertise 901 is the largest share of patients within younger age categories. Based on both expertise, the highest average costs spent by VZP ČR on 1 UOP and number of average contacts on 1 UOP for selected diagnoses also differ.
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Discrimination of people with mental illness in the offices of the CSSA
Nouzová, Adéla ; Angelovská, Olga (advisor) ; Kotherová, Zuzana (referee)
This thesis deals with the discrimination of people with mental illness in the offices of the Czech Social Security Administration. The aim of the thesis is to answer the research questions asking whether people with mental disorders experience any form of discrimination when applying for disability pension. They look for elements of discrimination both in the behaviour of workers and in the legislative process of allocating disability pensions. The behaviour of workers is explained by using framing theory. The theoretical part describes direct and indirect discrimination, framing theory and the theory of line workers with whom we continue to work throughout the thesis. Next, the procedure of allocating disability pensions is indicated, which gets compared with the experience of respondents in the practical part. The research questions are answered in the practical part through several interviews with respondents with mental illness, who went through the application process for disability pension and with respondents who work as medical examiners in the social security administration. In this part, there is also a discussion which analyses the flow chart, which appeared with all respondents with mental illness. In the end, all findings and answers to research questions are summarized.
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